Successful removal of an infected pacemaker electrode by open heart surgery under extracorporeal circulation.
Kurume Med J
; 47(1): 91-4, 2000.
Article
em En
| MEDLINE
| ID: mdl-10812895
ABSTRACT
A 33-year-old male with sick sinus syndrome, who had received a pacemaker implant 18 years earlier, was complicated with a generator infection. Although the infected generator was removed, he was suffered from the recurrent local infection associated with a retained pacemaker lead. After a new pacemaker system implantation from the other side of the subclavian vein, we attempted to remove the lead utilizing a pacemaker removal kit. However, this intervention procedure was unsuccessful, because fibrous adhesions had developed around the lead, accompanied by calcification along its course. As a last resort, we opened the heart under extracorporeal circulation and removed the lead under direct vision. The post-operative course was uneventful. In order to remove a long-term implanted pacemaker lead, the direct surgical procedure with extracorporeal circulation is a favorable mean alternative to conventional intervention techniques.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Marca-Passo Artificial
/
Infecções Bacterianas
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2000
Tipo de documento:
Article